Ciaccio Medical, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CIACCIO MEDICAL, P.C.

Practice address

1401 W Central Park Ave
Davenport, IA 52804-1707

Phone

(309) 236-8075

NPI assigned

Mar 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Cleo CiaccioNPI 1932168457

Title

President

Phone

(309) 236-8075

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John C Ciaccio, MD

  • Psychiatry Physician
  • Moline, IL
  • NPI 1932168457
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1043481179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "309-236-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIACCIO MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "CIACCIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-236-8075",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kathleen Christiansen, DC
• Christopher C. Friedl and Lauren E. Jensen Endodontics, PLLC
• Matthew C Christophersen, MD
• Carol Ann Chukwuka, ARNP
• Kassidee Church
• Mackenzie J Cichon
• Clark Family Vision PLC
• Chamein K Clark Witter, DCPC
• Cathleen Ann Clark, LICSW
• Katherine Louise Clark, D.C.

• Psychiatry Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.